| NPI | 1871098228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 102172) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2023-00972) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125.072218) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-10-10 |